| NPI | 1508282302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209009687) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: IL 209009333) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2019-12-26 |